	
	<?php include('header.php'); ?>

	<div>
		<h4>Payment Form</h4>
	</div>

	<form action='action.php' method='post' name="account_validation_form" id='account_validation_form' >

		<div class='form-input'>
			<label>Amount</label>
			<input type='text' id="payment_amount" name='payment_amount' />
		</div>


		<div class='form-input'>
			<label>AccountNo</label> 
			<input type='text'  id="payment_account" name='payers_account' />
		</div>


		<div>
<!-- 			<button name='submit' value='Submit' />
 -->			<button id='account_validation_submit'  type="button">Submit</button>
		</div>

		<div class='account_invalid_message'>

		</div>

	</form>



	<?php include('footer.php'); ?>
